Front Teeth Dental Implant Samples

by Ramsey Amin DDS

These are all real patients of mine. I performed the surgery and made the final teeth. These pictures are a mixture of many different cases. In some cases, the patient has all the ideal parameters to make the teeth near perfect. In other cases, the patient is informed in advance should there be an aesthetic compromise.

None of these pictures have been altered.

Please comment and tell me which tooth or teeth you think is the implant(s)!

This post is relevant if you are considering a dental implant for a front tooth. I suggest you look it over.

Why is a titanium implant used in the above picture for a front tooth? Under what circumstances would you do this? My #7 tooth had root canal and crown placed in 2006. The base of the crown was too thick and caused an occlusion with lower tooth. He filed my natural lower tooth down, but it still impacted everytime I bit. Guessing he didnt want to fracture the ceramic crown by drilling it at the base???? We tried many times with the carbon testing, then drilling, etc… but ultimately he just said it could be a problem later; kind of shrugging his shoulders; like this was the best that he could do. (Was this to save him the cost of re doing a crown? This is a high price for me to pay now. This seems like bad dentistry to me.) Nov. 2011, the crown was loose. I went in for xray, he said my tooth was fractured at the root. This tooth apparently had trauma as a child and was brittle, but it took 5 yrs of the occlusion to finally break. Just a few weeks ago it dropped in the sink while brushing. It still has the cement and my tooth in the crown; I’ve been glueing it back in for aesthetic appeal. But in the canal of my gums there is a wall of my tooth with a hole in it. There is some black bone/tooth. I may be able to get by without bone grafting, i don’t know. I am in Northern Calif., Rocklin. Can I have a consultation with you to evaluate my perameters, cost and such. Considering air travel cost, I’d need to pay attention to detail. Do you do the prosthesis also or is that an additional Doctor and visit with someone else? Then wouldn’t they have to work with you closely?…………………Sorry so long.

It sounds like you have a common but unfortunate fractured root. Each situation is really unique.

Titanium abutments can be used in the front of the mouth.
I use custom white abutments for the following scenarios:
■An implant for an upper front tooth where the gum may be thin and the titanium would show through.
■The space between your upper and lower teeth is really small and the implant need to be held by a screw instead of by cement.
■Multiple or full mouth bridged dental implants.
■High Lip lines
■Excessively thick or thin gums.
■Excessively “scalloped” gums.
…and many other factors

I would need to see you to really be able to tell you what is possible. Yes, I do both the surgery and make the teeth. This gives me great control of the final result. I would love to meet you. Just call the office to schedule.

At nine years old she is way too young for a dental implant. I would suggest she gets a Maryland bridge for now. She should also have braces done in preparation for an implant when she is about 16 years old.

I wish you had done my front implant tooth. The teeth in the pics look amazing. I had slipped on black ice, fell flat on my face & broke my nose & front tooth came out. Implant doctor put an implant in without consulting with the dentist first and as a result positioned my implant in a way that the dentist who did the crown had to give me a big thick tooth that gives me a lisp now. I did not know the procedure that I was supposed to a regular dentist first & went straight to the implant dentist since he was right across the street of where I worked. The crown dentist said it is a matter of “getting used to it”, but for $7,000 I think they should have done it correctly. I think it is very irresponsible of them.

Hello Pauline,
Thank you for your very flattering words. I’m so sorry to hear that you had a bad experience. Front and center teeth are the most complicated dental implants in the mouth and need to be handled very carefully to yield a great cosmetic result.

The implant has to be placed extremely precisely in all dimensions including depth, not just centering. Some implants should purposely be placed off-center for upper central incisors to develop what we call the zenith.

There still may be answers to help. Sometimes a custom abutment can re-correct angles and gum contours. If you’re unhappy, you should consider seeing somebody who is very well-versed in dental implants.

I had an implant attempted in my top tooth but didn’t accept it and have lost bone causing gap now dentist says only thing to do is bridge is this correct? Also feel this is dentist fault as didn’t see me throughout whole time while implant was trying to settle really annoyed and don’t know what to do

I’m sorry to hear about your frustration. I always hope that people have a really good experience with the process of having a dental implant or bone graft.

You might just want to start off with a different provider. Some dentists do not have a vast experience in implant dentistry. A front and Center tooth is extremely important. I would not have a bridge unless it was going to aesthetically look better than implant. This situation is a possibility but your dentist should be able to tell you before you ever start the process.

What an amazing site you have developed. I hope you will consider answering my question too
As a teen I was in a car accident that broke all of my front teeth, top and bottom. After having crowns for years and some issues, about ten years ago I got a bridge across the top front four (and the bottoms as well). The bridge was an amazing feat of engineering and required two teeth on either side to be crowned to attach the bridge. Recently I broke one of the ‘teeth’ in the front and now need to replace this bridge with something, either another bridge or implants. My question is: after 10 years of having a bridge across my front top teeth, can I still opt for implants? Or is that little “triangle” of gum that you describe long gone.
Thanks.
Susan

The triangle of gum is likely long gone but may be able to be redeveloped either in natural tissue or using pink porcelain which is called gingival colored ceramics. The teeth can be made to look very natural if designed well.
Because it has been 10 years since he lost the teeth, you are likely have bone loss that will require bone grafting in order to rebuild enough bone to have implants. Keep in mind that the longer the bridge is, the more support it needs. Long Bridges on dental implants or teeth should have enough implants or teeth below to support this span.
You really can have an amazing results if this is done properly and planned well. Find yourself an expert in be sure to have a preoperative 3-D scan done prior to removing anything.

Dental Services

Resources

About Dr. Ramsey Amin

Dr. Ramsey Amin has extensive
experience in surgical and
restorative implant dentistry.
As one of only less than 400
Diplomates of the American
Board of Oral Implantology/
Implant Dentistry (ABOI/ID)
he is considered an expert,
and board-certified in dental
implants. He is also a clinical
instructor at the UCLA School
of Dentistry.